148 results on '"Gibson GA"'
Search Results
2. Comment
- Author
-
STEELE, COLIN, ELLIOTT, JON, DAVINSON, DONALD, SMITH, JOHN, SMITH, DAVID, BROOK, GEOFFREY, and GIBSON, GA
- Published
- 1973
- Full Text
- View/download PDF
3. Structural and electronic properties of amorphous and polycrystalline In2Se3films
- Author
-
Chaiken, A, Nauka, K, Gibson, GA, Lee, H, Yang, CC, Wu, J, Ager, JW, Yu, KM, and Walukiewicz, W
- Abstract
Structural and electronic properties of amorphous and polycrystalline In2Se3films were discussed. The effect of deposition conditions on the film phase was also studied. It was found that the increased resistivity of amorphous In2Se3films is due to replacement of In-In bonds with In-Se bonds during crystallization.
- Published
- 2003
- Full Text
- View/download PDF
4. Rapid host defense against Aspergillus fumigatus involves alveolar macrophages with a predominance of alternatively activated phenotype
- Author
-
Bhatia, S, Fei, M, Yarlagadda, M, Qi, Z, Akira, S, Saijo, S, Iwakura, Y, van Rooijen, N, Gibson, GA, St. Croix, CM, Ray, A, Ray, P, Bhatia, S, Fei, M, Yarlagadda, M, Qi, Z, Akira, S, Saijo, S, Iwakura, Y, van Rooijen, N, Gibson, GA, St. Croix, CM, Ray, A, and Ray, P
- Published
- 2011
5. Inter-rater Reliability of a Classification System for Hospital Adverse Drug Event Reports
- Author
-
Haynes, K, primary, Hennessy, S, additional, Morales, KH, additional, Gibson, GA, additional, Barnhart, C, additional, Jaipaul, CK, additional, and Linkin, DR, additional
- Published
- 2007
- Full Text
- View/download PDF
6. PIC8 Clinical And Economic Benefits of An Infectious Disease Approval Program
- Author
-
Kinky, DE, primary, Fishman, NO, additional, Morgan, AS, additional, and Gibson, GA, additional
- Published
- 1998
- Full Text
- View/download PDF
7. PIC9 The Economic Impact of A Drug Information Service
- Author
-
Kinky, DE, primary, Erush, SC, additional, Laskin, MS, additional, and Gibson, GA, additional
- Published
- 1998
- Full Text
- View/download PDF
8. Are herders protected by their herds? An experimental analysis of zooprophylaxis against the malaria vector Anopheles arabiensis
- Author
-
Young Stephen, Gibson Gabriella, Tirados Iňaki, and Torr Stephen J
- Subjects
Arctic medicine. Tropical medicine ,RC955-962 ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background The number of Anopheles arabiensis (Diptera: Culicidae) and Anopheles pharoensis caught by human and cattle baits was investigated experimentally in the Arba Minch district of southern Ethiopia to determine if attraction to humans, indoors or outdoors, was affected by the presence or absence of cattle. Methods Field studies were made of the effect of a surrounding ring (10 m radius) of 20 cattle on the numbers of mosquitoes collected by human-baited sampling methods (i) inside or (ii) outside a hut. Results The numbers of An. arabiensis caught outdoors by a human landing catch (HLC) with or without a ring of cattle were not significantly different (2 × 2 Latin square comparisons: means = 24.8 and 37.2 mosquitoes/night, respectively; n = 12, P > 0.22, Tukey HSD), whereas, the numbers of An. pharoensis caught were significantly reduced (44%) by a ring of cattle (4.9 vs. 8.7; n = 12, P < 0.05). The catch of An. arabiensis in human-baited traps (HBT) was 25 times greater than in cattle-baited traps (CBT) (34.0 vs. 1.3, n = 24; P < 0.001) whereas, for An. pharoensis there was no significant difference. Furthermore, HBT and CBT catches were unaffected by a ring of cattle (4 × 4 Latin square comparison) for either An. arabiensis (n = 48; P > 0.999) or An. pharoensis (n = 48, P > 0.870). The HLC catches indoors vs. outdoors were not significantly different for either An. arabiensis or An. pharoensis (n = 12, P > 0.969), but for An. arabiensis only, the indoor catch was reduced significantly by 49% when the hut was surrounded by cattle (Tukey HSD, n = 12, P > 0.01). Conclusions Outdoors, a preponderance of cattle (20:1, cattle:humans) does not provide any material zooprophylactic effect against biting by An. arabiensis. For a human indoors, the presence of cattle outdoors nearly halved the catch. Unfortunately, this level of reduction would not have an appreciable impact on malaria incidence in an area with typically > 1 infective bite/person/night. For An. pharoensis, cattle significantly reduced the human catch indoors and outdoors, but still only by about half. These results suggest that even for traditional pastoralist communities of East Africa, the presence of large numbers of cattle does not confer effective zooprophylaxis against malaria transmitted by An. arabiensis or An. pharoensis.
- Published
- 2011
- Full Text
- View/download PDF
9. PIC9The Economic Impact of a Drug Information Service
- Author
-
Kinky, DE, Erush, SC, Laskin, MS, and Gibson, GA
- Abstract
OBJECTIVE: A cost-avoidance model was developed to determine potential cost savings (PCS) of a drug information service (DIS) that results from answering a drug information request. DESIGN: Patient-specific questions received by the drug information service were reviewed and evaluated. A panel determined whether or not appropriate drug therapy would have been employed if the DIS had not been consulted. Potential outcomes of drug information requests were classified using a decision-tree model. A severity rating with potential cost avoidance was then attached to each applicable request to predict PCS of the DIS. RESULTS: Seventy-seven of the 570 drug information responses in the six-week study period had assessable PCS to the institution. During the study interval, PCS were estimated to be $196,000. Projected to one year, PCS reached $1.7 million. Of the savings noted, most were in the categories of increased monitoring and additional treatment. Annual PCS using a sensitivity analysis ranged from $423,601 to $1,922,560 per year. CONCLUSIONS: This model demonstrates that the DIS at our institution does provide substantial cost avoidance. This model may be modified to evaluate PCS in other areas of pharmacy practice.
- Published
- 1998
- Full Text
- View/download PDF
10. PIC8Clinical and Economic Benefits of an Infectious Disease Approval Program
- Author
-
Kinky, DE, Fishman, NO, Morgan, AS, and Gibson, GA
- Abstract
A one-month case-control comparison was completed to evaluate infectious disease costs and outcomes utilizing an antibiotic management service.METHODS: Antibiotic approvals were obtained from the Infectious Disease Pharmacy Specialist (case) or the Infectious Disease fellows (control). Drug selection by the pharmacy specialist was based on patient-specific and hospital-specific parameters. Appropriateness of the drug therapy approved by the service was also reviewed by the antibiotic management physician. Charts were reviewed after antibiotic approval from case or control. They were also reassessed when patients were discharged from the hospital. Failure, reinfection, superinfection, and death were clinical outcomes categorized. Cure rates were determined microbiologically and clinically. Cost analyses were based on drug therapy, microbiology, length of treatment days, and infectious disease consults. Antibiotics administered reasonably without a documented infection were categorized as “no infection.” Patients were excluded if charts were unattainable or outcome could not be determined. RESULTS: A total of 255 patients receiving infectious disease approval was reviewed. Of these, 130 patients were controls and 125 were cases. Thirty-seven patients were excluded. Cure rates for the Clinical Pharmacy Specialist versus the Infectious Disease fellows were 56% versus 37%. Cost-effectiveness ratios per cure in 1993 US dollars were $330 for the ID specialist versus $932 for fellows considering drug costs. Cost-effectiveness ratios, including total antibiotic management costs were $5,660 versus $11,252, respectively. When ratios were translated to cost avoidance of the antibiotic management team, savings were estimated at $94,416 for monthly drug costs or $1,132,992/year. Total hospital costs savings during infectious disease management interval were estimated to be $576,876/month or $6,922,512/year. CONCLUSIONS: The benefit of the antibiotic management team improves cure rates while also decreasing cost of treatment. This service pays for itself through its savings in drug and hospital costs while also improving patient outcomes.
- Published
- 1998
- Full Text
- View/download PDF
11. Aztreonam-avibactam for the treatment of intra-abdominal infections.
- Author
-
Delp H, Gibson GA, and Buckman SA
- Subjects
- Humans, Gram-Negative Bacteria drug effects, Animals, Intraabdominal Infections drug therapy, Intraabdominal Infections microbiology, Aztreonam therapeutic use, Anti-Bacterial Agents therapeutic use, Anti-Bacterial Agents pharmacology, Anti-Bacterial Agents adverse effects, Anti-Bacterial Agents pharmacokinetics, Drug Combinations, Azabicyclo Compounds therapeutic use, Azabicyclo Compounds pharmacology, Azabicyclo Compounds pharmacokinetics, Gram-Negative Bacterial Infections drug therapy, Gram-Negative Bacterial Infections microbiology, beta-Lactamase Inhibitors therapeutic use, beta-Lactamase Inhibitors pharmacology
- Abstract
Introduction: Intra-abdominal infections are becoming increasingly common and can lead to significant morbidity and mortality. The incidence of these infections due to resistant gram-negative organisms is also increasing. Given this resistance, new antibiotic combinations are being developed, often utilizing older antibiotics and newer β-lactamase inhibitors. Aztreonam/avibactam (ATM-AVI) is one of the combination antibiotics, which combines aztreonam, a monobactam, with avibactam, a broad-spectrum β-lactamase inhibitor for the treatment of complicated intra-abdominal infections in combination with metronidazole., Areas Covered: In this drug evaluation manuscript, we provide an overview of intra-abdominal infections and an overview of currently available antimicrobial agents used to treat these infections. ATM-AVI is introduced, including chemistry, pharmacodynamics, pharmacokinetics and clinical studies of this compound., Expert Opinion: There are limited treatment options for complicated intra-abdominal infections due to resistant gram-negative organisms, especially those with metallo-β-lactamases. One treatment option for these infections is ATM-AVI, which was recently approved in Europe, in addition to metronidazole. These bacteria are difficult to treat, and this new compound is a safe and effective option for empiric treatment in places with a high incidence of infections due to these bacteria, and also treatment for infections when these resistant bacteria are isolated in culture.
- Published
- 2024
- Full Text
- View/download PDF
12. Clinical Response to Third-Line Angiotensin-II vs Epinephrine in Septic Shock: A Propensity-Matched Cohort Study.
- Author
-
Blankenship CR, Betthauser KD, Hencken LN, Maamari JA, Goetz J, Giacomino BD, and Gibson GA
- Subjects
- Humans, Male, Female, Retrospective Studies, Middle Aged, Aged, Cohort Studies, Treatment Outcome, Norepinephrine therapeutic use, Norepinephrine administration & dosage, Shock, Septic drug therapy, Shock, Septic mortality, Vasoconstrictor Agents therapeutic use, Epinephrine therapeutic use, Epinephrine administration & dosage, Propensity Score, Angiotensin II therapeutic use, Hospital Mortality
- Abstract
Background: The appropriate third-line vasopressor in septic shock patients receiving norepinephrine and vasopressin is unknown. Angiotensin-II (AT-II) offers a unique mechanism of action to traditionally used vasopressors in septic shock., Objective: The objective of this study was to compare the clinical efficacy and safety of third-line AT-II to epinephrine in patients with septic shock., Methods: A single-center, retrospective cohort study of critically ill patients was performed between April 1, 2019 and July 31, 2022. Propensity-matched (2:1) analysis compared adults with septic shock who received third-line AT-II to controls who received epinephrine following norepinephrine and vasopressin. The primary outcome was clinical response 24 hours after third-line vasopressor initiation. Additional efficacy and safety outcomes were investigated., Results: Twenty-three AT-II patients were compared with 46 epinephrine patients. 47.8% of AT-II patients observed a clinical response at hour 24 compared with 28.3% of epinephrine patients ( P = 0.12). In-hospital mortality (65.2% vs 73.9%, P = 0.45), cardiac arrhythmias (26.1% vs 26.1%, P = 0.21), and thromboembolism (4.3% vs 2.2%, P = 0.61) were not observed to be statistically different between groups., Conclusions and Relevance: Administration of AT-II as a third-line vasopressor agent in septic shock patients was not associated with significantly improved clinical response at hour 24 compared with epinephrine. Although underpowered to detect meaningful differences, the clinical observations of this study warrant consideration and further investigation of AT-II as a third-line vasopressor in septic shock., Competing Interests: Declaration of Conflicting InterestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: KDB discloses being a member of La Jolla Pharmaceutical Company’s speakers bureau at the time this work was completed. KDB is a current employee of Innoviva Specialty Therapeutics. GAG discloses being a member of the speakers bureau for AstraZeneca. All other authors have no relevant disclosures.
- Published
- 2024
- Full Text
- View/download PDF
13. The impact of diagnosis delay on European patients with generalised myasthenia gravis.
- Author
-
Cortés-Vicente E, Borsi AJ, Gary C, Noel WGJ, Lee JMS, Karmous W, Zhang Q, Gandhi KH, Batista AE, DeCourcy JJ, Barlow SG, Birija SL, and Gibson GA
- Subjects
- Humans, Male, Female, Middle Aged, Adult, Europe, Aged, Myasthenia Gravis diagnosis, Delayed Diagnosis statistics & numerical data
- Abstract
Objective: The objective was to determine the mean duration of diagnosis delay for patients with myasthenia gravis from five European countries and explore the impact of >1 year diagnosis delay., Methods: Patients with myasthenia gravis (N = 387) from Europe (France/Germany/Italy/Spain/United Kingdom) and their physicians participated in the Adelphi Real World Myasthenia Gravis Disease Specific Programme™. Diagnosis delay (time from symptom onset to diagnosis) was calculated and characteristics described for patients experiencing >1 year and ≤1 year diagnosis delay. Denominators varied according to outcome as missing data were not imputed., Results: Mean (standard deviation) diagnosis delay was 363.1 (520.9) days, and 27.1% (105 out of 387) of patients experienced diagnosis delay >1 year. Among patients with >1 year and ≤1 year diagnosis delay, respectively, 69.2% (72 out of 104) and 17.4% [45 out of 259] had initially received a different diagnosis (physician-reported); 40.0% (42 out of 105) and 24.1% (68 out of 282) were Myasthenia Gravis Foundation of America class III at the time of the survey (physician-reported); 72.4% (76 out of 105) and 61.3% (173 out of 282) had fatigue (subjective physician reporting from a pre-selected list of symptoms); 30.5% (32 out of 105) and 17.4% (49 out of 282) had anxiety and 21.9% (23 out of 105) and 13.1% (37 out of 282) had depression (both subjective physician reporting from a pre-selected list, Likert-style); and mean (standard deviation) MG-QoL-15r score was 14.4 (5.50) and 12.6 (7.84) (self-reported by N = 43 and N = 74 patients, respectively)., Interpretation: More than a quarter of patients with myasthenia gravis experienced diagnosis delay of >1 year. These patients had a different clinical profile with regards to severity, symptoms, comorbidities and MG-QoL-15r score, compared with patients experiencing ≤1 year diagnosis delay., (© 2024 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.)
- Published
- 2024
- Full Text
- View/download PDF
14. Effect of Early Administration of Vasopressin on New-Onset Arrhythmia Development in Patients With Septic Shock: A Retrospective, Observational Cohort Study.
- Author
-
McCloskey MM, Gibson GA, Pope HE, Giacomino BD, Hampton N, Micek ST, Kollef MH, and Betthauser KD
- Subjects
- Humans, Retrospective Studies, Vasopressins therapeutic use, Norepinephrine therapeutic use, Arrhythmias, Cardiac drug therapy, Arrhythmias, Cardiac epidemiology, Vasoconstrictor Agents adverse effects, Shock, Septic drug therapy, Shock, Septic epidemiology
- Abstract
Background: Adjunctive vasopressin use in septic shock reduces catecholamine requirements and is associated with a lower incidence of new-onset arrhythmias (NOAs). The association of vasopressin timing on NOA development is ill-described. Objective: To determine whether early administration of vasopressin was associated with a lower incidence of NOA in septic shock patients. Methods: A retrospective analysis of intensive care unit (ICU) patients at a large, academic medical center. Septic shock patients who required vasopressin and norepinephrine were eligible for inclusion. Patients were excluded for receipt of other vasoactive agents, history of cardiac arrhythmias, or outside hospital admission. Early vasopressin was defined as receipt within 6 hours of septic shock onset. The primary outcome was incidence of NOA. Results : In total, 436 patients, 220 (50.4%) in the early and 216 (49.6%) in the late vasopressin group, were included. Early vasopressin was not associated with a lower incidence of NOA compared with late vasopressin (9% vs 7%, median absolute difference [95% confidence interval, CI]: -2.1 [-7.2, 3.0], P = 0.41). Early vasopressin patients were observed to have shorter shock duration (2 vs 4 days, median absolute difference [95% CI]: 2 [1, 2], P < 0.001), and ICU length of stay (6 vs 7 days, median absolute difference [95% CI]: 1 [0, 2], P = 0.02). Conclusions and Relevance: Early vasopressin use was not associated with a lower incidence of NOA. Additional studies are needed to elucidate the effect of vasopressin timing on NOA and other clinical outcomes., Competing Interests: Declaration of Conflicting InterestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: K.D.B. discloses being a member of La Jolla Pharmaceutical Company’s speaker’s bureau. M.H.K.’s research efforts are supported by the Barnes-Jewish Hospital Foundation.
- Published
- 2024
- Full Text
- View/download PDF
15. Comment: Does Early Vasopressin in Septic Shock Improve Outcomes? An Important Piece to This Emerging Puzzle Has Arrived.
- Author
-
McCloskey MM, Gibson GA, Pope HE, Giacomino BD, Hampton N, Micek ST, Kollef MH, and Betthauser KD
- Subjects
- Humans, Vasopressins therapeutic use, Vasoconstrictor Agents therapeutic use, Norepinephrine, Shock, Septic drug therapy
- Abstract
Competing Interests: Declaration of Conflicting InterestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: KDB discloses being a member of La Jolla Pharmaceutical Company’s speakers bureau. MHK’s research efforts are supported by the Barnes-Jewish Hospital Foundation.
- Published
- 2024
- Full Text
- View/download PDF
16. Major Publications in the Critical Care Pharmacotherapy Literature: 2022.
- Author
-
Gurnani PK, Barlow B, Boling B, Busse LW, Diaz-Gomez JL, Ford J, Gibson GA, Khanna AK, Lee JS, Rivosecchi RM, Spezzano KM, Thornton N, Vallabhajosyula S, Witenko CJ, and Wieruszewski PM
- Abstract
Objectives: A number of trials related to critical care pharmacotherapy were published in 2022. We aimed to summarize the most influential publications related to the pharmacotherapeutic care of critically ill patients in 2022., Data Sources: PubMed/Medical Literature Analysis and Retrieval System Online and the Clinical Pharmacy and Pharmacology Pharmacotherapy Literature Update., Study Selection: Randomized controlled trials, prospective studies, or systematic review/meta-analyses of adult critically ill patients assessing a pharmacotherapeutic intervention and reporting clinical endpoints published between January 1, 2022, and December 31, 2022, were included in this article., Data Extraction: Articles from a systematic search and the Clinical Pharmacy and Pharmacology Pharmacotherapy Literature Update were included and stratified into clinical domains based upon consistent themes. Consensus was obtained on the most influential publication within each clinical domain utilizing an a priori defined three-round modified Delphi process with the following considerations: 1) overall contribution to scientific knowledge and 2) novelty to the literature., Data Synthesis: The systematic search and Clinical Pharmacy and Pharmacology Pharmacotherapy Literature Update yielded a total of 704 articles, of which 660 were excluded. The remaining 44 articles were stratified into the following clinical domains: emergency/neurology, cardiovascular, gastroenterology/fluids/nutrition, hematology, infectious diseases/immunomodulation, and endocrine/metabolic. The final article selected from each clinical domain was summarized following a three-round modified Delphi process and included three randomized controlled trials and three systematic review/meta-analyses. Article topics summarized included dexmedetomidine versus other sedatives during mechanical ventilation, beta-blocker treatment in the critically ill, restriction of IV fluids in septic shock, venous thromboembolism prophylaxis in critically ill adults, duration of antibiotic therapy for Pseudomonas aeruginosa ventilator-associated pneumonia, and low-dose methylprednisolone treatment in severe community-acquired pneumonia., Conclusions: This concise review provides a perspective on articles published in 2022 that are relevant to the pharmacotherapeutic care of critically ill patients and their potential impact on clinical practice., Competing Interests: The authors have disclosed that they do not have any potential conflicts of interest., (Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine.)
- Published
- 2023
- Full Text
- View/download PDF
17. Prospective Observational Evaluation of Predatory Journals in Critical Care Pharmacy Practice: Defining Characteristics Associated With Receiving Unsolicited Invitations to Publish.
- Author
-
Peppard WJ, Peppard SR, Feih JT, Kim AK, Obenberger SJ, Mulvey AF, Teng BQ, Brazauskas R, Pape KO, Gibson GA, Dzierba AL, and Dobesh PP
- Subjects
- Humans, Publishing, Prospective Studies, Periodicals as Topic, Open Access Publishing, Pharmacy
- Abstract
Open-access publishing promotes accessibility to scholarly research at no cost to the reader. The emergence of predatory publishers, which exploit the author-pay model by charging substantial publication fees for publication in journals with questionable publishing processes, is on the rise. Authors are solicited through aggressive marketing tactics, though who is targeted is not well described. The purpose of this study was to identify characteristics associated with critical care pharmacists that make them targets of unsolicited invitations to publish. A prospective, observational study of critical care pharmacists was performed. Participants archived emails received by their professional email that were unsolicited invitations to submit their original work for publication in a journal (unsolicited journals). Variables were evaluated to determine which were associated with unsolicited invitations; these were compared to legitimate journals, defined as all PubMed-indexed journals in which the participants were previously published. Twenty-three pharmacist participants were included, all of whom were residency and/or fellowship trained and practicing in an academic medical center. Participants had a median of 7 years of experience since their post-graduate training, 6 years since their last change in professional email address, and 2 years since their first PubMed-indexed publication. From these participants, 136 unsolicited and 59 legitimate journals were included. The average number of invitations increased 1.04 (95% CI, 1.02-1.05) times for every additional PubMed-indexed publication ( P < .001). Most unsolicited journals were considered predatory. Legitimate and unsolicited journals differed significantly. The number of previous PubMed-indexed publications strongly correlates with the likelihood of critical care pharmacists receiving unsolicited publication invitations, often from predatory journal.
- Published
- 2023
- Full Text
- View/download PDF
18. Non-Antibiotic Approaches to Infection that Preserve the Microbiome in Critically Ill Patients.
- Author
-
Gibson GA and Owen EJ
- Subjects
- Humans, Critical Illness therapy, Dysbiosis therapy, Gastrointestinal Tract, Anti-Bacterial Agents therapeutic use, Microbiota
- Abstract
In critically ill patients, the gut microbiota is subjected to various factors including antimicrobial exposure, modified gastrointestinal transit, nutrition support, as well as infection, which may lead to dysbiosis during the intensive care unit and hospital stay. Dysbiosis occupies an increasingly important role in driving morbidity and perhaps mortality in the critically ill or injured. Given that antibiotics lead to dysbiosis, it is relevant to understand the range of non-antibiotic approaches to infection-including those related to multi-drug-resistant organisms-that may leave the microbiome unimpacted. These strategies most prominently include the elimination of unabsorbed antibiotic agents from the digestive tract, pro-/pre-/synbiotics, fecal microbiota transplant, selective digestive and oropharyngeal decontamination, phage therapy, anti-sense oligonucleotides, structurally nanoengineered antimicrobial peptide polymers, and vitamin C-based lipid nanoparticles for adoptive macrophage transfer. Herein, we review the rationale for these therapies, current data regarding their use in critically ill patients, and the therapeutic potential for strategies that are not yet deployed in human medical care.
- Published
- 2023
- Full Text
- View/download PDF
19. Physician-Reported Perspectives on Myasthenia Gravis in the United States: A Real-World Survey.
- Author
-
Mahic M, Bozorg AM, DeCourcy JJ, Golden KJ, Gibson GA, Taylor CF, Ting A, Story TJ, and Scowcroft A
- Abstract
Introduction: Myasthenia gravis (MG) is a rare, debilitating, chronic disorder caused by the production of pathogenic immunoglobulin G autoantibodies against the neuromuscular junction. A lack of real-world studies in rare diseases reflects a relatively limited understanding of the significant unmet needs and burden of disease for patients. We aimed to provide comprehensive real-world insights into the management and burden of MG from treating physicians in the United States (US)., Methods: Data were collected using the Adelphi Real World MG Disease Specific Programme™, a point-in-time survey of physicians and their patients with MG, in the US between March and July 2020. Physician-reported clinical data, including demographics, comorbidities, symptoms, disease history, treatments, and healthcare resource utilization, were collected., Results: In total, 456 patient record forms were completed by 78 physicians based in the US. At time of survey completion, patient mean age was 54.5 years. Mean time from symptom onset to diagnosis was 9.0 months (n = 357). Ocular symptoms were reported in 71.7% of patients. General fatigue affected 47.1% of patients and over half of those reported the severity as moderate or severe (59.5%, n = 128). Acetylcholinesterase inhibitors and/or steroids were the most frequently prescribed first-line treatment type among patients receiving treatment at time of survey completion and with moderate-to-severe symptoms (77.9%, n = 159/204). High-dose steroids (n = 14) and intravenous immunoglobulin (n = 13) were the most prescribed acute treatments among those receiving an acute treatment at time of survey completion (n = 36), with symptom exacerbations or myasthenic crises being the most common reasons for acute treatment. On average, 2.5 healthcare professionals were involved in patient management and 5.0 consultations were made per patient over the last 12 months., Conclusions: Our findings indicated that, despite treatment, there is a proportion of patients with MG in the US who had a significant need for improved disease management., (© 2022. The Author(s).)
- Published
- 2022
- Full Text
- View/download PDF
20. Ring the Bell for Sickle Cell: Encouraging Advocacy in an Underserved Community.
- Author
-
Bloom EM, Hampton KC, Blackwell K, Gibson GA, Roberson C, and Meier ER
- Subjects
- Adult, Humans, Indiana, Needs Assessment, Anemia, Sickle Cell therapy
- Abstract
Sickle cell disease (SCD) was once a disease of childhood because of a limited life expectancy. Due to medical advances, it is now common for people with SCD to live into adulthood. Funding and resources for adults with SCD, however, remain limited. Adult patients would benefit from increased access to medical care, mental health care services, and workforce development. The Indiana Sickle Cell Consortium, a group of medical providers and community-based organizations, worked closely with people living with SCD and their family members to create a campaign advocating for state funding for programs for adults with SCD. This campaign culminated with the passage of a bill that provides $250,000 in funding for program development for adults with SCD. The bill also directs the Indiana Department of Health to carry out a needs assessment for people with SCD in Indiana. However, continued efforts are needed to reduce health disparities for people with SCD. The Indiana Sickle Cell Consortium will continue advocacy efforts in future legislative cycles and bring attention to the health inequities that affect people with SCD.
- Published
- 2022
- Full Text
- View/download PDF
21. Thromboembolic Complications After Receipt of Prothrombin Complex Concentrate.
- Author
-
Owen EJ, Gibson GA, Human T, and Wolfe R
- Abstract
Purpose: Patients presenting with life-threatening bleeding associated with oral anticoagulants (OACs) are challenging with few available treatments. Prothrombin complex concentrate (PCC) is an option for OAC reversal in the setting of life-threatening bleeding with a relatively benign safety profile. Little is known about the risk of developing thromboembolic complications (TEC) in patients receiving PCC who were previously anticoagulated. The aim of this study is to characterize the rate of TEC after receipt of PCC. Methods: All adult patients who received 4-Factor PCC for life-threatening bleeding were retrospectively evaluated over a 2-year time period. Data collected included anticoagulant and indication, bleeding source, PCC dose, INR, and TEC within 14 days of PCC dose, including venous thromboembolism (VTE), acute myocardial infarction, and ischemic stroke. Results: Three hundred thirty-three patients received 383 PCC doses. Of these, 55 (16.5%) patients developed TEC, including VTE, ischemic stroke, and acute myocardial infarction. There was increased rivaroxaban use in patients who developed TEC (25.4% vs 12.2%; P = .011). Additionally, there were more patients who had anticoagulation for a previous TEC in those who developed a new TEC (38.2% vs 23.4%; P = .022). Lastly, there was a higher rate of TEC in those who received >1 dose of PCC (21.8% vs 7.9%; P = .002). Conclusion: PCC administration in the setting of life-threatening bleeding is not benign. Risk of TEC increases in patients who have rivaroxaban reversal, receive a repeat dose of PCC, and have a TEC indication for their anticoagulation and these factors should be further investigated., Competing Interests: Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Emily J. Owen and Gabrielle A. Gibson are on speakers bureau for Portola Pharmaceuticals, LLC., (© The Author(s) 2020.)
- Published
- 2021
- Full Text
- View/download PDF
22. Effect of Vasopressin Dose on Hemodynamic Response in Obese Patients With Septic Shock: A Retrospective Observational Study.
- Author
-
Dubrawka CA, Betthauser KD, Pope HE, and Gibson GA
- Subjects
- Adult, Hemodynamics, Humans, Norepinephrine pharmacology, Obesity complications, Obesity drug therapy, Retrospective Studies, Vasoconstrictor Agents therapeutic use, Vasopressins pharmacology, Shock, Septic drug therapy
- Abstract
Background: No clear association between standard vasopressin doses and body mass index exists, despite potential pharmacokinetic and pharmacodynamic variability among patients with septic shock. It is unknown if higher doses may alter hemodynamic response., Objective: The purpose of this study was to evaluate the effect of vasopressin dose on hemodynamic response in obese patients with septic shock., Methods: A single-center, retrospective cohort study was conducted in adult, obese patients with septic shock receiving catecholamine vasopressors and vasopressin. Patients were analyzed according to vasopressin dose received: standard dose (≤0.04 U/min) and high dose (>0.04 U/min). The primary outcome was percentage change in norepinephrine equivalent (NEQ) dose., Results: A total of 182 patients were included in the analysis, with 136 in the standard-dose vasopressin group and 46 in the high-dose vasopressin group. There was no difference in percentage change in NEQ dose at 6 hours after standard- or high-dose vasopressin attainment (-28.6% vs -19.1%; P = 0.166). A greater increase in mean arterial pressure (MAP) at 6 hours was observed with receipt of high-dose vasopressin (23.3% vs 15.3%; P = 0.023). Duration of shock and length of stay were significantly longer in patients who received high-dose vasopressin, with no difference in in-hospital mortality., Conclusion and Relevance: This represents the first analysis comparing standard and higher doses of vasopressin in obese patients with septic shock. Receipt of high-dose vasopressin was not associated with a difference in catecholamine requirement or improved outcomes. Further studies are warranted to provide guidance on the use of high-dose vasopressin in septic shock.
- Published
- 2021
- Full Text
- View/download PDF
23. Evaluation of Amiodarone Use for New-Onset Atrial Fibrillation in Critically Ill Patients With Septic Shock.
- Author
-
Betthauser KD, Gibson GA, Piche SL, and Pope HE
- Abstract
Objective: To describe the use of amiodarone in critically ill, septic shock patients experiencing new-onset atrial fibrillation (NOAF) during the acute resuscitative phase of septic shock. Methods: Single-center, retrospective review of adult medical or surgical intensive care unit (ICU) patients with septic shock and NOAF. All patients received amiodarone for NOAF during the acute resuscitative phase of septic shock. The cohort was analyzed via descriptive statistics. Associations between amiodarone exposure and clinical outcomes were analyzed via a Cox proportional-hazards model. An a priori defined sensitivity analysis of hospital survivors was also employed. Main Results: A total of 239 patients were included in the analysis. Patients had a median baseline Charlson Comorbidity Index of 4 (interquartile range [IQR]: 2-6) and were acutely ill with a median Acute Physiology and Chronic Health Evaluation II (APACHE II) score of 18 (IQR: 13-22) and an incidence of mechanical ventilation of 85%. In-hospital mortality was 56% with median ICU and hospital length of stay (LOS) of 9 and 15 days, respectively. Included patients received a median of 2760 (IQR: 1110-6415) mg of intravenous (IV) amiodarone during their ICU stay. Receipt of more than or equal to 2700 mg of amiodarone was identified as an independent factor associated with longer ICU LOS (hazard ratio [HR]: 1.30; 95% confidence interval [CI], 1.10-2.28). In a sensitivity analysis of hospital survivors (n = 105), receipt of more than or equal to 2700 mg of amiodarone remained independently associated with longer ICU LOS (HR: 1.64; 95% CI, 1.05-2.58). Conclusions: Exposure to more than or equal to 2700 mg of amiodarone in the setting of NOAF and septic shock is positively correlated with longer ICU LOS. Identifying opportunities to limit amiodarone exposure and address/resolve potential precipitating causes of NOAF in this clinical scenario may reduce the morbidity associated with septic shock., Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2019.)
- Published
- 2021
- Full Text
- View/download PDF
24. Using Ligand-Accelerated Catalysis to Repurpose Fluorogenic Reactions for Platinum or Copper.
- Author
-
Pham D, Deter CJ, Reinard MC, Gibson GA, Kiselyov K, Yu W, Sandulache VC, St Croix CM, and Koide K
- Abstract
The development of a fluorescent probe for a specific metal has required exquisite design, synthesis, and optimization of fluorogenic molecules endowed with chelating moieties with heteroatoms. These probes are generally chelation- or reactivity-based. Catalysis-based fluorescent probes have the potential to be more sensitive; however, catalytic methods with a biocompatible fluorescence turn-on switch are rare. Here, we have exploited ligand-accelerated metal catalysis to repurpose known fluorescent probes for different metals, a new approach in probe development. We used the cleavage of allylic and propargylic ethers as platforms that were previously designed for palladium. After a single experiment that combinatorially examined >800 reactions with two variables (metal and ligand) for each ether, we discovered a platinum- or copper-selective method with the ligand effect of specific phosphines. Both metal-ligand systems were previously unknown and afforded strong signals owing to catalytic turnover. The fluorometric technologies were applied to geological, pharmaceutical, serum, and live cell samples and were used to discover that platinum accumulates in lysosomes in cisplatin-resistant cells in a manner that appears to be independent of copper distribution. The use of ligand-accelerated catalysis may present a new blueprint for engineering metal selectivity in probe development., Competing Interests: The authors declare no competing financial interest.
- Published
- 2020
- Full Text
- View/download PDF
25. Cerebral microcirculatory alterations and the no-reflow phenomenon in vivo after experimental pediatric cardiac arrest.
- Author
-
Li L, Poloyac SM, Watkins SC, St Croix CM, Alexander H, Gibson GA, Loughran PA, Kirisci L, Clark RS, Kochanek PM, Vazquez AL, and Manole MD
- Subjects
- Animals, Brain physiopathology, Heart Arrest physiopathology, Male, No-Reflow Phenomenon physiopathology, Rats, Sprague-Dawley, Vasodilation, Brain blood supply, Cerebrovascular Circulation, Heart Arrest complications, Microcirculation, No-Reflow Phenomenon etiology
- Abstract
Decreased cerebral blood flow (CBF) after cardiac arrest (CA) contributes to secondary ischemic injury in infants and children. We previously reported cortical hypoperfusion with tissue hypoxia early in a pediatric rat model of asphyxial CA. In order to identify specific alterations as potential therapeutic targets to improve cortical hypoperfusion post-CA, we characterize the CBF alterations at the cortical microvascular level in vivo using multiphoton microscopy. We hypothesize that microvascular constriction and disturbances of capillary red blood cell (RBC) flow contribute to cortical hypoperfusion post-CA. After resuscitation from 9 min asphyxial CA, transient dilation of capillaries and venules at 5 min was followed by pial arteriolar constriction at 30 and 60 min (19.6 ± 1.3, 19.3 ± 1.2 µm at 30, 60 min vs. 22.0 ± 1.2 µm at baseline, p < 0.05). At the capillary level, microcirculatory disturbances were highly heterogeneous, with RBC stasis observed in 25.4% of capillaries at 30 min post-CA. Overall, the capillary plasma mean transit time was increased post-CA by 139.7 ± 51.5%, p < 0.05. In conclusion, pial arteriolar constriction, the no-reflow phenomenon and increased plasma transit time were observed post-CA. Our results detail the microvascular disturbances in a pediatric asphyxial CA model and provide a powerful platform for assessing specific vascular-targeted therapies.
- Published
- 2019
- Full Text
- View/download PDF
26. Quantitative and qualitative assessment of glymphatic flux using Evans blue albumin.
- Author
-
Wolf MS, Chen Y, Simon DW, Alexander H, Ross M, Gibson GA, Manole MD, Bayır H, Kochanek PM, and Clark RSB
- Subjects
- Animals, Brain Chemistry, Cerebrospinal Fluid chemistry, Cerebrospinal Fluid metabolism, Glymphatic System chemistry, Rats, Sprague-Dawley, Brain metabolism, Evans Blue, Glymphatic System metabolism, Immunohistochemistry methods, Serum, Spectrophotometry methods
- Abstract
Background: The glymphatic system is a proposed pathway for clearance of proteins and macromolecules from brain, and disrupted glymphatic flux is implicated in neurological disease. We capitalized on colorimetric, fluorescent, and protein-binding properties of Evans blue to evaluate glymphatic flux., New Method: Twenty-five μL of 1% Evans blue-labeled albumin (EBA) in artificial cerebrospinal fluid (aCSF) was injected into the intracisternal space of anesthetized postnatal day 17 rats. Serum was collected at various time points after injection (n = 37) and EBA was measured spectrophotometrically. In separate rats (n = 3), a cranial window was placed over the parietal cortex and EBA transit was evaluated using in vivo multiphoton microscopy. Separate rats (n = 6) were processed for immunohistochemistry to examine localization of EBA. In some rats, intracranial pressure (ICP) was increased via intracisternal injection of aCSF., Results: EBA was detected in serum as early as 30 min, was maximal at 4 h, and was undetectable at 72 h after intracisternal injection. Using intra-vital microscopy and immunohistochemistry EBA could be tracked from CSF to perivascular locations. Consistent with removal via glymphatic flux, increasing ICP to 40 mmHg accelerated transit of EBA from CSF to blood., Comparison With Existing Methods: Transit of EBA from CSF to serum could be quantified spectrophotometrically without radioactive labeling. Glymphatic flux could also be qualitatively evaluated using EBA fluorescence., Conclusion: We present a novel technique for simultaneous quantitative and qualitative evaluation of glymphatic flux in rats., (Copyright © 2018 Elsevier B.V. All rights reserved.)
- Published
- 2019
- Full Text
- View/download PDF
27. Clearing for Deep Tissue Imaging.
- Author
-
Muntifering M, Castranova D, Gibson GA, Meyer E, Kofron M, and Watson AM
- Subjects
- Animals, Decision Trees, Fluorescence, Mice, Solvents, Staining and Labeling, Imaging, Three-Dimensional methods
- Abstract
Biologic tissues are generally opaque due to optical properties that result in scattering and absorption of light. Preparation of tissues for optical microscopy often involves sectioning to a thickness of 50-100 µm, the practical limits of light penetration and recovery. A researcher who wishes to image a whole tissue must acquire potentially hundreds of individual sections before rendering them into a three-dimensional volume. Clearing removes strongly light-scattering and light-absorbing components of a tissue and equalizes the refractive index of the imaging medium to that of the tissue. After clearing, the maximum depth of imaging is often defined by the microscope optics rather than the tissue. Such visibility enables the interrogation of whole tissues and even animals without the need to section. Researchers can study a biological process in the context of its three-dimensional environment, identify rare events in large volumes of tissues, and trace cells and cell-cell interactions over large distances. This article describes four popular clearing protocols that are relevant to a wide variety of scenarios across biologic disciplines: CUBIC, CLARITY, 3DISCO, and SeeDB. © 2018 by John Wiley & Sons, Inc., (© 2018 John Wiley & Sons, Inc.)
- Published
- 2018
- Full Text
- View/download PDF
28. CRISPR/Cas9-mediated gene knockin in the hydroid Hydractinia symbiolongicarpus.
- Author
-
Sanders SM, Ma Z, Hughes JM, Riscoe BM, Gibson GA, Watson AM, Flici H, Frank U, Schnitzler CE, Baxevanis AD, and Nicotra ML
- Subjects
- Animals, Genetic Vectors, Homologous Recombination, Hydrozoa growth & development, Transgenes, CRISPR-Cas Systems, Gene Editing, Gene Knock-In Techniques, Hydrozoa genetics, Peptide Elongation Factor 1 genetics
- Abstract
Background: Hydractinia symbiolongicarpus, a colonial cnidarian, is a tractable model system for many cnidarian-specific and general biological questions. Until recently, tests of gene function in Hydractinia have relied on laborious forward genetic approaches, randomly integrated transgenes, or transient knockdown of mRNAs., Results: Here, we report the use of CRISPR/Cas9 genome editing to generate targeted genomic insertions in H. symbiolonigcarpus. We used CRISPR/Cas9 to promote homologous recombination of two fluorescent reporters, eGFP and tdTomato, into the Eukaryotic elongation factor 1 alpha (Eef1a) locus. We demonstrate that the transgenes are expressed ubiquitously and are stable over two generations of breeding. We further demonstrate that CRISPR/Cas9 genome editing can be used to mark endogenous proteins with FLAG or StrepII-FLAG affinity tags to enable in vivo and ex vivo protein studies., Conclusions: This is the first account of CRISPR/Cas9 mediated knockins in Hydractinia and the first example of the germline transmission of a CRISPR/Cas9 inserted transgene in a cnidarian. The ability to precisely insert exogenous DNA into the Hydractinia genome will enable sophisticated genetic studies and further development of functional genomics tools in this understudied cnidarian model.
- Published
- 2018
- Full Text
- View/download PDF
29. Optical Coherence Tomography Reveals Sigmoidal Crystalline Lens Changes during Accommodation.
- Author
-
Gibson GA, Cruickshank FE, Wolffsohn JS, and Davies LN
- Abstract
This study aimed to quantify biometric modifications of the anterior segment (AS) during accommodation and to compare them against changes in both accommodative demand and response. Thirty adults, aged 18-25 years were rendered functionally emmetropic with contact lenses. AS optical coherence tomography (AS-OCT) images were captured along the 180° meridian (Visante, Zeiss Meditec, Jena, Germany) under stimulated accommodative demands (0-4 D). Images were analysed and lens thickness (LT) was measured, applying a refractive index correction of 1.00. Accommodative responses were also measured sequentially through a Badal optical system fitted to an autorefractor (Shin Nippon NVision-K 5001, Rexxam, Japan). Data were compared with Dubbelman schematic eye calculations. Significant changes occurred in LT, anterior chamber depth (ACD), lens centroid (i.e., ACD + LT/2), and AS length (ASL = ACD + LT) with accommodation (all p < 0.01). There was no significant change in CT with accommodation ( p = 0.81). Measured CT, ACD, and lens centroid values were similar to Dubbelman modelled parameters, however AS-OCT overestimated LT and ASL. As expected, the accommodative response was less than the demand. Interestingly, up until approximately 1.5 D of response (2.0 D demand), the anterior crystalline lens surface appears to be the primary correlate. Beyond this point, the posterior lens surface moves posteriorly resulting in an over-all sigmoidal trajectory. he posterior crystalline lens surface demonstrates a sigmoidal response with increasing accommodative effort.
- Published
- 2018
- Full Text
- View/download PDF
30. Pharmacokinetics and Pharmacodynamics of Antimicrobials in Critically Ill Patients.
- Author
-
Owen EJ, Gibson GA, and Buckman SA
- Subjects
- Anti-Infective Agents adverse effects, Humans, Anti-Infective Agents pharmacokinetics, Anti-Infective Agents pharmacology, Communicable Diseases drug therapy, Critical Illness
- Abstract
Critically ill patients with severe infections often have altered pharmacokinetic and pharmacodynamic variables that lead to challenging treatment decisions. These altered variables can often lead to inadequate dosing and poor treatment outcomes. The pharmacokinetic parameters include absorption, distribution, metabolism, and excretion. Pharmacodynamics is the relationship between drug serum concentrations and pharmacologic and toxicologic properties of the medication. In addition to these altered parameters, these critically ill patients frequently are receiving organ support in the forms of continuous renal replacement therapy or extra-corporeal membrane oxygenation. Altered pharmacodynamics can lead to decreased end-organ perfusion, which can ultimately lead to treatment failure or exposure-related toxicity. The most common antimicrobials utilized in the intensive care unit are classified by the pharmacodynamic principles of time-dependent, concentration-dependent, and concentration dependent with time-dependence. Thus, the aim of this review is to outline pharmacokinetic and pharmacodynamic changes of critically ill patients with severe infections and provide strategies for optimal antibiotic agent dosing in these patients.
- Published
- 2018
- Full Text
- View/download PDF
31. Volatile HRS asymmetry and subloops in resistive switching oxides.
- Author
-
La Torre C, Kindsmüller A, Wouters DJ, Graves CE, Gibson GA, Strachan JP, Williams RS, Waser R, and Menzel S
- Abstract
Current-voltage characteristics of oxide-based resistive switching memories often show a pronounced asymmetry with respect to the voltage polarity in the high resistive state (HRS), where the HRS after the RESET is more conducting than the one before the SET. Here, we report that most of this HRS asymmetry is a volatile effect as the HRS obtained from a read operation differs from the one taken from the switching cycle at identical polarity and voltages. Transitions between the relaxed and the volatile excited states can be achieved via voltage sweeps, which are named subloops. The excited states are stable over time as long as a voltage is applied to the device and have a higher conductance than the stable relaxed state. Experimental data on the time and voltage dependence of the excitation and decay are presented for Ta/TaO
x /Pt and Ta/ZrOx /Pt devices. The effect is not limited to one oxide or electrode material but is observed with different magnitudes (up to 10× current change) in several oxide systems. These observations describe an additional state variable of the memristive system that is controlled in a highly polarity dependent manner.- Published
- 2017
- Full Text
- View/download PDF
32. Ribbon scanning confocal for high-speed high-resolution volume imaging of brain.
- Author
-
Watson AM, Rose AH, Gibson GA, Gardner CL, Sun C, Reed DS, Lam LKM, St Croix CM, Strick PL, Klimstra WB, and Watkins SC
- Subjects
- Animals, Brain physiopathology, Brain virology, Callithrix virology, Encephalitis Virus, Venezuelan Equine isolation & purification, Encephalomyelitis, Venezuelan Equine diagnosis, Encephalomyelitis, Venezuelan Equine physiopathology, Encephalomyelitis, Venezuelan Equine virology, Humans, Mice, Neuroimaging methods, Rats, Virus Replication, Brain diagnostic imaging, Encephalitis Virus, Venezuelan Equine pathogenicity, Encephalomyelitis, Venezuelan Equine diagnostic imaging, Microscopy, Confocal methods
- Abstract
Whole-brain imaging is becoming a fundamental means of experimental insight; however, achieving subcellular resolution imagery in a reasonable time window has not been possible. We describe the first application of multicolor ribbon scanning confocal methods to collect high-resolution volume images of chemically cleared brains. We demonstrate that ribbon scanning collects images over ten times faster than conventional high speed confocal systems but with equivalent spectral and spatial resolution. Further, using this technology, we reconstruct large volumes of mouse brain infected with encephalitic alphaviruses and demonstrate that regions of the brain with abundant viral replication were inaccessible to vascular perfusion. This reveals that the destruction or collapse of large regions of brain micro vasculature may contribute to the severe disease caused by Venezuelan equine encephalitis virus. Visualization of this fundamental impact of infection would not be possible without sampling at subcellular resolution within large brain volumes.
- Published
- 2017
- Full Text
- View/download PDF
33. Tumor-Derived α-Fetoprotein Directly Drives Human Natural Killer-Cell Activation and Subsequent Cell Death.
- Author
-
Vujanovic L, Stahl EC, Pardee AD, Geller DA, Tsung A, Watkins SC, Gibson GA, Storkus WJ, and Butterfield LH
- Subjects
- Cell Death, Cell Line, Tumor, Cell Proliferation, Cells, Cultured, Cytokines immunology, Humans, Carcinoma, Hepatocellular immunology, Killer Cells, Natural immunology, Liver Neoplasms immunology, alpha-Fetoproteins immunology
- Abstract
Hepatocellular carcinoma (HCC) patients with reduced natural killer (NK)-cell numbers and function have been shown to have a poor disease outcome. Mechanisms underlying NK-cell deficiency and dysfunction in HCC patients remain largely unresolved. α-Fetoprotein (AFP) is an oncofetal antigen produced by HCC. Previous studies demonstrated that tumor-derived AFP (tAFP) can indirectly impair NK-cell activity by suppressing dendritic cell function. However, a direct tAFP effect on NK cells remains unexplored. The purpose of this study was to examine the ability of cord blood-derived AFP (nAFP) and that of tAFP to directly modulate human NK-cell activity and longevity in vitro Short-term exposure to tAFP and, especially, nAFP proteins induced a unique proinflammatory, IL2-hyperresponsive phenotype in NK cells as measured by IL1β, IL6, and TNF secretion, CD69 upregulation, and enhanced tumor cell killing. In contrast, extended coculture with tAFP, but not nAFP, negatively affected long-term NK-cell viability. NK-cell activation was directly mediated by the AFP protein itself, whereas their viability was affected by hydrophilic components within the low molecular mass cargo that copurified with tAFP. Identification of the distinct impact of circulating tAFP on NK-cell function and viability may be crucial to developing a strategy to ameliorate HCC patient NK-cell functional deficits. Cancer Immunol Res; 5(6); 493-502. ©2017 AACR ., (©2017 American Association for Cancer Research.)
- Published
- 2017
- Full Text
- View/download PDF
34. Revision of the Neotropical genus Macreupelmus Ashmead (Hymenoptera: Chalcidoidea: Eupelmidae).
- Author
-
Gibson GA
- Subjects
- Animal Distribution, Animal Structures anatomy & histology, Animal Structures growth & development, Animals, Body Size, Female, Male, Organ Size, Phylogeny, Wasps anatomy & histology, Wasps genetics, Wasps growth & development, Wasps classification
- Abstract
The Neotropical genus Macreupelmus Ashmead (Eupelmidae: Eupelminae) is revised based on females, males being unknown for the genus. The genus is redescribed, its phylogenetic relationships within Eupelminae discussed, and the species keyed, described and illustrated through macrophotography. Nine species are recognized-Macreupelmus auranticrus n. sp., M. aurantispina n. sp., M. brasiliensis Ashmead 1896, M. crassicornis (Cameron 1884), M. dromedarius (Cameron 1884), M. erwini n. sp., M. granulosus n. sp., M. laticlavius n. sp., and M. nigrispina n. sp. Excluded from the genus are Macreupelmus baccharidis Kieffer 1910 (transferred to Brasema Cameron as B. baccharidis (Kieffer) n. comb.), Macreupelmus bekilyi Risbec 1952 (transferred to Reikosiella (Hirticauda Bouček) as Reikosiella (Hirticauda) bekilyi (Risbec) n. comb.), and Macreupelmus pulchriceps Cameron 1905 (transferred to Eupelmus Dalman as E. (Eupelmus) pulchriceps (Cameron) n. comb.). The latter name is recognized as the senior synonym of Cerambycobius cushmani Crawford 1908 n. syn., Cerambycobius townsendi Crawford 1912 n. syn., and Eupelmus cyaniceps amicus Girault 1916 n. syn. Lectotypes are designated for M. brasiliensis, M. dromedarius and E. pulchriceps.
- Published
- 2016
- Full Text
- View/download PDF
35. Donor dendritic cell-derived exosomes promote allograft-targeting immune response.
- Author
-
Liu Q, Rojas-Canales DM, Divito SJ, Shufesky WJ, Stolz DB, Erdos G, Sullivan ML, Gibson GA, Watkins SC, Larregina AT, and Morelli AE
- Subjects
- Animals, Cell Movement, Graft Rejection, Graft Survival, Heart Transplantation, Major Histocompatibility Complex immunology, Male, Mice, Mice, Inbred BALB C, Mice, Inbred C3H, Mice, Inbred C57BL, Skin Transplantation, Spleen metabolism, T-Lymphocytes cytology, Transplantation, Homologous, Allografts immunology, Dendritic Cells immunology, Dendritic Cells metabolism, Exosomes metabolism, Immune Tolerance immunology
- Abstract
The immune response against transplanted allografts is one of the most potent reactions mounted by the immune system. The acute rejection response has been attributed to donor dendritic cells (DCs), which migrate to recipient lymphoid tissues and directly activate alloreactive T cells against donor MHC molecules. Here, using a murine heart transplant model, we determined that only a small number of donor DCs reach lymphoid tissues and investigated how this limited population of donor DCs efficiently initiates the alloreactive T cell response that causes acute rejection. In our mouse model, efficient passage of donor MHC molecules to recipient conventional DCs (cDCs) was dependent on the transfer of extracellular vesicles (EVs) from donor DCs that migrated from the graft to lymphoid tissues. These EVs shared characteristics with exosomes and were internalized or remained attached to the recipient cDCs. Recipient cDCs that acquired exosomes became activated and triggered full activation of alloreactive T cells. Depletion of recipient cDCs after cardiac transplantation drastically decreased presentation of donor MHC molecules to directly alloreactive T cells and delayed graft rejection in mice. These findings support a key role for transfer of donor EVs in the generation of allograft-targeting immune responses and suggest that interrupting this process has potential to dampen the immune response to allografts.
- Published
- 2016
- Full Text
- View/download PDF
36. α-Lipoic acid promotes α-tubulin hyperacetylation and blocks the turnover of mitochondria through mitophagy.
- Author
-
Stoner MW, Thapa D, Zhang M, Gibson GA, Calderon MJ, St Croix CM, and Scott I
- Subjects
- Acetyl Coenzyme A metabolism, Acetylation drug effects, Acetyltransferases metabolism, Animals, Autophagy drug effects, COS Cells, Chlorocebus aethiops, Hep G2 Cells, Histone Deacetylase Inhibitors pharmacology, Humans, Microscopy, Confocal, Mitochondria drug effects, Signal Transduction drug effects, Mitochondria metabolism, Thioctic Acid pharmacology, Tubulin metabolism
- Abstract
Lysine acetylation is tightly coupled to the nutritional status of the cell, as the availability of its cofactor, acetyl-CoA, fluctuates with changing metabolic conditions. Recent studies have demonstrated that acetyl-CoA levels act as an indicator of cellular nourishment, and increased abundance of this metabolite can block the induction of cellular recycling programmes. In the present study we investigated the cross-talk between mitochondrial metabolic pathways, acetylation and autophagy, using chemical inducers of mitochondrial acetyl-CoA production. Treatment of cells with α-lipoic acid (αLA), a cofactor of the pyruvate dehydrogenase complex, led to the unexpected hyperacetylation of α-tubulin in the cytosol. This acetylation was blocked by pharmacological inhibition of mitochondrial citrate export (a source for mitochondria-derived acetyl-CoA in the cytosol), was dependent on the α-tubulin acetyltransferase (αTAT) and was coupled to a loss in function of the cytosolic histone deacetylase, HDAC6. We further demonstrate that αLA slows the flux of substrates through autophagy-related pathways, and severely limits the ability of cells to remove depolarized mitochondria through PTEN-associated kinase 1 (PINK1)-mediated mitophagy., (© 2016 The Author(s). published by Portland Press Limited on behalf of the Biochemical Society.)
- Published
- 2016
- Full Text
- View/download PDF
37. Evaluation of an updated insulin infusion protocol at a large academic medical center.
- Author
-
Gibson GA, Militello MA, Guzman JA, and Bauer SR
- Subjects
- Academic Medical Centers methods, Aged, Blood Glucose drug effects, Blood Glucose metabolism, Drug Therapy, Computer-Assisted methods, Female, Humans, Male, Medical Records Systems, Computerized standards, Middle Aged, Retrospective Studies, Academic Medical Centers standards, Drug Therapy, Computer-Assisted standards, Hypoglycemic Agents administration & dosage, Insulin administration & dosage, Insulin Infusion Systems standards
- Abstract
Purpose: The performance of an updated insulin infusion protocol was evaluated at a large, academic medical center., Methods: A retrospective medical record review was performed after a one-month run-in period for all patients at a large, academic, tertiary care medical center in whom the insulin infusion per protocol was administered from January 1 through February 28, 2014. Data were evaluated to determine the median blood glucose (BG) level, time to achieve BG in the target range, number of BG checks per patient per day, time elapsed between each BG check, and the frequency of hypoglycemia (BG concentration of ≤70 mg/dL)., Results: A total of 170 patients were included. The median preinfusion BG was 244 mg/dL (interquartile range [IQR], 204-304 mg/dL), which decreased to a median of 168 mg/dL (IQR, 147.5-199.5 mg/dL) when the protocol was utilized. However, 70 patients (41%) had a median BG concentration of ≥180 mg/dL, and 25 patients' (15%) BG value remained above 180 mg/dL. The median time to achieve the goal BG value was 4.2 hours (95% confidence interval, 3.2-5.1 hours). BG checks were performed a median of every 2.1 hours (IQR, 1.4-2.3 hours). Hypoglycemia was rare, occurring in only 2 (1.2%) patients., Conclusion: The median BG with an updated insulin infusion protocol approached the upper limit of the target BG range, and 41% of patients had a median BG above the goal range. Protocol specifications for the frequency of BG monitoring were not commonly followed, but the frequency of hypoglycemia was extremely low., (Copyright © 2016 by the American Society of Health-System Pharmacists, Inc. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
38. A new species of Oozetetes De Santis (Hymenoptera: Chalcidoidea: Eupelmidae) from Colombia with an updated key for the bucheri species-group.
- Author
-
Pérez-Benavides AL, Serna F, and Gibson GA
- Subjects
- Animal Distribution, Animal Structures anatomy & histology, Animal Structures growth & development, Animals, Body Size, Colombia, Female, Male, Organ Size, Wasps anatomy & histology, Wasps growth & development, Wasps classification
- Abstract
Oozetetes lucidus sp. nov. (Hymenoptera: Eupelmidae) is described from Colombia, South America, and through macrophotography compared with all described species in the bucheri species-group of Oozetetes De Santis. An illustrated key modified from Gibson (2004) is provided to distinguish females of the six described species of this group.
- Published
- 2016
- Full Text
- View/download PDF
39. Revision of the Palaearctic species of Eupelmus (Eupelmus) Dalman (Hymenoptera: Chalcidoidea: Eupelmidae).
- Author
-
Gibson GA and Fusu L
- Subjects
- Animals, Female, Male, Hymenoptera anatomy & histology, Hymenoptera classification
- Abstract
One hundred-four extant species of Eupelmus Dalman (Hymenoptera: Eupelmidae: Eupelminae) are recognized from the Palaearctic region, of which 76 species of E. (Eupelmus) are recognized following a revision of the Palaearctic fauna of the subgenus. The following 25 species are described as new: E. (Eupelmus) adustus Gibson & Fusu n. sp., E. (Eupelmus) angustifrons Gibson & Fusu n. sp., E. (Eupelmus) bicolor Gibson & Fusu n. sp., E. (Eupelmus) brachypterus Fusu & Gibson n. sp., E. (Eupelmus) brachystylus Gibson & Fusu n. sp., E. (Eupelmus) brachyurus Fusu & Gibson n. sp., E. (Eupelmus) fasciatus Gibson & Fusu n. sp., E. (Eupelmus) gelechiphagus Gibson & Fusu n. sp., E. (Eupelmus) hayei Gibson & Fusu n. sp., E. (Eupelmus) infimbriatus Gibson & Fusu n. sp., E. (Eupelmus) iris Fusu & Gibson n. sp., E. (Eupelmus) kamijoi Gibson & Fusu n. sp., E. (Eupelmus) lanceolatus Gibson & Fusu n. sp., E. (Eupelmus) luteipes Fusu & Gibson n. sp., E. (Eupelmus) magdalenae Fusu & Gibson n. sp., E. (Eupelmus) mehrnejadi Gibson & Fusu n. sp., E. (Eupelmus) melanostylus Gibson & Fusu n. sp., E. (Eupelmus) punctatifrons Fusu & Gibson n. sp., E. (Eupelmus) setosus Fusu & Gibson n. sp., E. (Eupelmus) tanystylus Gibson & Fusu n. sp., E. (Eupelmus) tetrazostus Gibson & Fusu n. sp., E. (Eupelmus) vanharteni Fusu & Gibson n. sp., E. (Eupelmus) weilli Fusu & Gibson n. sp., E. (Eupelmus) xenium Fusu & Gibson n. sp., and E. (Eupelmus) zebra Fusu & Gibson n. sp. Of previously described species of Eupelmus, 17 are newly assigned to E. (Eupelmus), 10 to E. (Episolindelia Girault), and 8 to E. (Macroneura Walker). Formally transferred to E. (Macroneura) from Macroneura are E. (M.) algiricus (Kalina 1981), E. (M.) coleophorae (Kalina 1981), E. (M.) impennis (Nikol'skaya 1952), E. (M.) longicornis (Kalina 1981), E. (M.) pleuratus (Kalina 1981) and E. (M.) sugonyaevi (Kalina 1981) n. combs. Eupelmus (Eupelmus) kalinai Gibson & Fusu n. name is given to replace E. (Eupelmus) algiricus Kalina 1988, a secondary homonym of E. (M.) algiricus (Kalina 1981). New synonyms proposed are Eupelmus scolyti Liao 1987 n. syn. under E. (Eupelmus) formosae Ashmead 1904, and Eupelmus nigricauda Nikol'skaya 1952 n. syn. under E. (Eupelmus) microzonus Förster 1860. Eupelmus gueneei Giraud 1870 and Eupelmus xambeui Giard 1900 are transferred to Arachnophaga (Parasolindenia Brues) as A. (P.) gueneei (Giraud) and A. (P.) xambeui (Giard) n. combs., and Eupelmus kim Nikol'skaya 1952 is transferred to Brasema Cameron as B. kim (Nikol'skaya) n. comb. Eupelmus puparum Newport 1840 is transferred to Pteromalus Swederus (Pteromalidae) as P. puparum (Newport) n. comb., a secondary homonym of P. puparum (Linnaeus 1758), and Ceraphron brachynterae Schwägrichen 1835 is removed from Eupelmus and Eupelmidae, and the name treated as incertae sedis. Lectotypes are designated for Eupelmus azureus Ratzeburg 1844, Pteromalus cordairii Ratzeburg 1844, Eupelmus hostilis Förster 1860, and Eupelmus splendens Giraud 1872. Neotypes are designated for Pteromalus audouinii Ratzeburg 1844 and Eupelmus bedeguaris Ratzeburg 1852. Newly recorded from the Palaearctic are E. (Eupelmus) orthopterae (Risbec 1951) and E. (Eupelmus) peculiaris Narendran (2011). Excluded from the Palaearctic are E. (Eupelmus) afer Silvestri 1914 (Afrotropical) and E. (Eupelmus) longicorpus (Girault 1915) (Australasian), the former being compared to E. confusus Al khatib 2015 and the latter to E. iranicus Kalina 1988 and E. kalinai. Seven informal species groups are recognized for the purpose of species comparisons, the fulgens-, fulvipes-, iranicus-, orientalis-, splendens-, stramineipes-, and urozonus-groups. The latter group is restricted to E. urozonus Dalman and five other species that were differentiated initially using molecular evidence. Females of all 76 species of E. (Eupelmus) recognized from the Palaearctic are keyed, described and illustrated. Males are recognized for 44 of the species, and keyed and illustrated, though not all males of the fulvipes- and urozonus-groups are distinguished from each other.
- Published
- 2016
- Full Text
- View/download PDF
40. Revision of Paranastatus Masi (Eupelmidae, Eupelminae) with descriptions of four new species.
- Author
-
Scallion ML, Gibson GA, and Sharanowski BJ
- Abstract
Paranastatus Masi, 1917 (Eupelmidae, Eupelminae) was originally described based on two species from Seychelles: Paranastatus egregius and Paranastatus violaceus. Eady (1956) subsequently described Paranastatus nigriscutellatus and Paranastatus verticalis from Fiji. Here, four new species of Paranastatus are described: Paranastatus bellus Scallion, sp. n. and Paranastatus pilosus Scallion, sp. n. from Indonesia, and Paranastatus halko Scallion, sp. n. and Paranastatus parkeri Scallion, sp. n. from Fiji. A key to all Paranastatus species based on females is included and lectotypes are designated for Paranastatus egregius and Paranastatus violaceus. Finally, previously unobserved colour variation from newly collected material of Paranastatus verticalis, distribution patterns of species, and possibilities for future research are discussed.
- Published
- 2016
- Full Text
- View/download PDF
41. Influence of Colistin Dose on Global Cure in Patients with Bacteremia Due to Carbapenem-Resistant Gram-Negative Bacilli.
- Author
-
Gibson GA, Bauer SR, Neuner EA, Bass SN, and Lam SW
- Subjects
- Acute Kidney Injury prevention & control, Aged, Bacteremia microbiology, Bacteremia mortality, Bacteremia pathology, Carbapenems therapeutic use, Drug Administration Schedule, Drug Dosage Calculations, Female, Gram-Negative Bacteria growth & development, Gram-Negative Bacteria pathogenicity, Gram-Negative Bacterial Infections microbiology, Gram-Negative Bacterial Infections mortality, Gram-Negative Bacterial Infections pathology, Humans, Intensive Care Units, Length of Stay, Male, Microbial Sensitivity Tests, Middle Aged, Multivariate Analysis, Retrospective Studies, Survival Analysis, Treatment Outcome, Anti-Bacterial Agents therapeutic use, Bacteremia drug therapy, Colistin therapeutic use, Gram-Negative Bacteria drug effects, Gram-Negative Bacterial Infections drug therapy, beta-Lactam Resistance
- Abstract
The increasing prevalence of multidrug-resistant (MDR) nosocomial infections accounts for increased morbidity and mortality of such infections. Infections with MDR Gram-negative isolates are frequently treated with colistin. Based on recent pharmacokinetic studies, current colistin dosing regimens may result in a prolonged time to therapeutic concentrations, leading to suboptimal and delayed effective treatment. In addition, studies have demonstrated an association between an increased colistin dose and improved clinical outcomes. However, the specific dose at which these outcomes are observed is unknown and warrants further investigation. This retrospective study utilized classification and regression tree (CART) analysis to determine the dose of colistin most predictive of global cure at day 7 of therapy. Patients were assigned to high- and low-dose cohorts based on the CART-established breakpoint. The secondary outcomes included microbiologic outcomes, clinical cure, global cure, lengths of intensive care unit (ICU) and hospital stays, and 7- and 28-day mortalities. Additionally, safety outcomes focused on the incidence of nephrotoxicity associated with high-dose colistin therapy. The CART-established breakpoint for high-dose colistin was determined to be >4.4 mg/kg of body weight/day, based on ideal body weight. This study evaluated 127 patients; 45 (35%) received high-dose colistin, and 82 (65%) received low-dose colistin. High-dose colistin was associated with day 7 global cure (40% versus 19.5%; P = 0.013) in bivariate and multivariate analyses (odds ratio [OR] = 3.40; 95% confidence interval [CI], 1.37 to 8.45; P = 0.008). High-dose colistin therapy was also associated with day 7 clinical cure, microbiologic success, and mortality but not with the development of acute kidney injury. We concluded that high-dose colistin (>4.4 mg/kg/day) is independently associated with day 7 global cure., (Copyright © 2015, American Society for Microbiology. All Rights Reserved.)
- Published
- 2015
- Full Text
- View/download PDF
42. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification at Discharge.
- Author
-
Caroff DA, Bittermann T, Leonard CE, Gibson GA, and Myers JS
- Subjects
- Hospitals, Teaching, Humans, Length of Stay, Medication Errors prevention & control, Organizational Case Studies, Patient Readmission, Professional Role, Workflow, Clinical Protocols, Cooperative Behavior, Internship and Residency organization & administration, Medication Reconciliation organization & administration, Patient Discharge, Pharmacists organization & administration
- Abstract
Background: At the Hospital of the University of Pennsylvania (Philadelphia), it is standard practice to perform medication reconciliation at patient discharge. Although pharmacists historically were available to assist resident physicians in the discharge medication reconciliation process, the process was never standardized. An internal review showed a 60%-70% rate of pharmacist review of discharge medication lists, potentially enabling medication errors to go unnoticed during transitions of care. In response, a medical resident- and pharmacist-led collaboration was designed, and a pre-post-intervention study was conducted to assess its effectiveness., Methods: A new work flow was established in which house staff notified pharmacists when a preliminary discharge medication list was ready for reconciliation and provided access for pharmacists to correct medication errors in the electronic discharge document with physician approval. Length of stay, average time of day of patient discharge, and readmission data were compared in the pre- and post-intervention periods., Results: There were 981 discharges in the preintervention period and 1,207 in the postintervention period. The rate of pharmacist reconciliation increased from 64.0% to 82.4% after the intervention (p<.0001). The average number of errors identified and corrected by pharmacists decreased from 0.979 to 0.862 per discharge (p<.0001). There was no significant change in readmission rates or time of discharge after the intervention., Conclusions: Redesigning the discharge medication reconciliation process in a teaching hospital to include a review of medical resident discharge medication lists by pharmacists provided more opportunities for discharge medication error identification and correction.
- Published
- 2015
- Full Text
- View/download PDF
43. The presence of Notanisus Walker (Hymenoptera: Pteromalidae) in North America and revision of the oulmesiensis species group.
- Author
-
Gibson GA
- Subjects
- Animal Distribution, Animal Structures anatomy & histology, Animal Structures growth & development, Animals, Body Size, Female, Male, North America, Organ Size, Wasps anatomy & histology, Wasps growth & development, Wasps classification
- Abstract
The presence and distribution of two species of Notanisus Walker (Hymenoptera: Pteromalidae) in North America is reported. Notanisus sexramosus (Erdős), originally described from Hungary and previously reported from Maryland, USA, is recorded also from Massachusetts and Pennsylvania based on a male and macropterous and brachypterous females. Males of Notanisus are shown to have two types of flagellar structure, ramose and pedicellate, and diagnostic features are given for the previously unknown males of N. clavatus Bouček to differentiate these from those of N. sexramosus and N. versicolor Walker. Five other species are newly described, Notanisus kansensis n. sp. based on a female from Nebraska, USA, and four species from Sub-Saharan Africa and the Arabian Peninsula--Notanisus brevipetiolus n. sp. based on two females from Uganda and Zambia, Notanisus longipetiolus n. sp. based on a female from Zimbabwe and a female and two males from Mozambique, Notanisus vanharteni n. sp. based on a female and several males from United Arab Emirates, and Notanisus yemenensis n. sp. based on a female and male from Yemen. The latter five species are included with the Palaearctic species N. oulmesiensis (Delucchi) and N. gracilis (Yang) in the oulmesiensis species group, defined by the presence of reduced stigmal and postmarginal veins in both sexes. The seven oulmesiensis-group species are differentiated in a key and all treated species are illustrated through macrophotography. Monophyly and relationships of Notanisus within Cleonymini are discussed, including features that indicate it could be paraphyletic relative to Callocleonymus Masi.
- Published
- 2015
- Full Text
- View/download PDF
44. An integrative study of Necremnus Thomson (Hymenoptera: Eulophidae) associated with invasive pests in Europe and North America: taxonomic and ecological implications.
- Author
-
Gebiola M, Bernardo U, Ribes A, and Gibson GA
- Abstract
The species of Necremnus attacking two invasive pests of tomato and canola in Europe and North America, respectively, Tuta absoluta (Meyrick) (Lepidoptera: Gelechiidae) and Ceutorhynchus obstrictus (Marsham) (Coleoptera: Curculionidae), have been revised using an integrative taxonomy approach. Molecular data from the mitochondrial cytochrome oxidase c subunit I and the nuclear D2 expansion region of the 28S ribosomal subunit and internal transcribed spacer 2, the discovery of new morphological features, and study of type material resulted in the delineation of three species groups, the Necremnus artynes , Necremnus cosconius , and Necremnus tidius groups, the discovery of four new species, and the resurrection of three taxa from synonymy. Lectotypes have been designated for 13 species originally described in Eulophus by Walker. Although Necremnus has not been revised, an illustrated key is given to differentiate 23 recognized European species. The key, type images, and treatments of the three species groups will enable more accurate identification of the valid species of Necremnus in the future. They will also benefit biological control practitioners of pest species. The ecological consequences of the new taxonomic concepts are discussed.
- Published
- 2015
- Full Text
- View/download PDF
45. The parasitoids of the asparagus miner (Diptera: Agromyzidae): field parasitism and the influence of food resources on life history.
- Author
-
Morrison WR 3rd, Gibson GA, and Szendrei Z
- Subjects
- Analysis of Variance, Animals, Flowers chemistry, Larva physiology, Michigan, Pest Control, Biological, Species Specificity, Asparagus Plant parasitology, Diet, Diptera parasitology, Diptera physiology, Wasps physiology
- Abstract
The goals of this study were to identify pupal parasitoids of the asparagus miner, Ophiomyia simplex Loew (Diptera: Agromyzidae), and examine the effect of different diets and floral resources on the lifespan of adult asparagus miners and their parasitoids. We also measured the effect of parasitism on stem damage caused by the asparagus miner. The identity and abundance of the parasitoids of the asparagus miner were determined in asparagus fields in Michigan from weekly asparagus miner pupal collections during the 2010-2013 seasons. Twelve species of hymenopterous parasitoids were reared from asparagus miner pupae, including Chorebus rondanii (Giard) (Ichneumonoidea: Braconidae), 10 species in three families of Chalcidoidea, and one species of Bethylidae (Chrysidoidea), that represent new host records for the asparagus miner. C. rondanii and Thinodytes cephalon (Walker) (Pteromalidae) were the most common parasitoids. The effects of different diets and flowers on the lifespan of the pest and parasitoid adults were also evaluated. Buckwheat resulted in the shortest life span for the asparagus miner, whereas Riddell's goldenrod significantly increased its lifespan relative to the control. Parasitoid lifespan was doubled when individuals were fed sugar-rich diets. In the field, parasitoids preferred stems that contained more pupae and damage. The two most commonly reared parasitoids should be considered as targets for future conservation biological control efforts of the asparagus miner.
- Published
- 2014
- Full Text
- View/download PDF
46. Oral-resident natural Th17 cells and γδ T cells control opportunistic Candida albicans infections.
- Author
-
Conti HR, Peterson AC, Brane L, Huppler AR, Hernández-Santos N, Whibley N, Garg AV, Simpson-Abelson MR, Gibson GA, Mamo AJ, Osborne LC, Bishu S, Ghilardi N, Siebenlist U, Watkins SC, Artis D, McGeachy MJ, and Gaffen SL
- Subjects
- Animals, Candidiasis immunology, Flow Cytometry, Interleukin-23 deficiency, Mice, Mice, Knockout, Microscopy, Confocal, Mouth cytology, Mouth microbiology, Real-Time Polymerase Chain Reaction, Receptors, Antigen, T-Cell, gamma-delta metabolism, Receptors, Interleukin-17 deficiency, Receptors, Interleukin-17 metabolism, Candida albicans immunology, Candidiasis prevention & control, Immunity, Innate immunology, Mouth immunology, Th17 Cells immunology
- Abstract
Oropharyngeal candidiasis (OPC) is an opportunistic fungal infection caused by Candida albicans. OPC is frequent in HIV/AIDS, implicating adaptive immunity. Mice are naive to Candida, yet IL-17 is induced within 24 h of infection, and susceptibility is strongly dependent on IL-17R signaling. We sought to identify the source of IL-17 during the early innate response to candidiasis. We show that innate responses to Candida require an intact TCR, as SCID, IL-7Rα(-/-), and Rag1(-/-) mice were susceptible to OPC, and blockade of TCR signaling by cyclosporine induced susceptibility. Using fate-tracking IL-17 reporter mice, we found that IL-17 is produced within 1-2 d by tongue-resident populations of γδ T cells and CD3(+)CD4(+)CD44(hi)TCRβ(+)CCR6(+) natural Th17 (nTh17) cells, but not by TCR-deficient innate lymphoid cells (ILCs) or NK cells. These cells function redundantly, as TCR-β(-/-) and TCR-δ(-/-) mice were both resistant to OPC. Whereas γδ T cells were previously shown to produce IL-17 during dermal candidiasis and are known to mediate host defense at mucosal surfaces, nTh17 cells are poorly understood. The oral nTh17 population expanded rapidly after OPC, exhibited high TCR-β clonal diversity, and was absent in Rag1(-/-), IL-7Rα(-/-), and germ-free mice. These findings indicate that nTh17 and γδ T cells, but not ILCs, are key mucosal sentinels that control oral pathogens., (© 2014 Conti et al.)
- Published
- 2014
- Full Text
- View/download PDF
47. Deterministic nanoparticle assemblies: from substrate to solution.
- Author
-
Barcelo SJ, Kim A, Gibson GA, Norris KJ, Yamakawa M, and Li Z
- Abstract
The deterministic assembly of metallic nanoparticles is an exciting field with many potential benefits. Many promising techniques have been developed, but challenges remain, particularly for the assembly of larger nanoparticles which often have more interesting plasmonic properties. Here we present a scalable process combining the strengths of top down and bottom up fabrication to generate deterministic 2D assemblies of metallic nanoparticles and demonstrate their stable transfer to solution. Scanning electron and high-resolution transmission electron microscopy studies of these assemblies suggested the formation of nanobridges between touching nanoparticles that hold them together so as to maintain the integrity of the assembly throughout the transfer process. The application of these nanoparticle assemblies as solution-based surface-enhanced Raman scattering (SERS) materials is demonstrated by trapping analyte molecules in the nanoparticle gaps during assembly, yielding uniformly high enhancement factors at all stages of the fabrication process.
- Published
- 2014
- Full Text
- View/download PDF
48. Correlative microscopy for 3D structural analysis of dynamic interactions.
- Author
-
Jun S, Zhao G, Ning J, Gibson GA, Watkins SC, and Zhang P
- Subjects
- HeLa Cells, Humans, Cryoelectron Microscopy methods, HIV Infections pathology, HIV Infections virology, HIV-1 ultrastructure, Imaging, Three-Dimensional methods, Microscopy, Fluorescence methods
- Abstract
Cryo-electron tomography (cryoET) allows 3D visualization of cellular structures at molecular resolution in a close-to-physiological state(1). However, direct visualization of individual viral complexes in their host cellular environment with cryoET is challenging(2), due to the infrequent and dynamic nature of viral entry, particularly in the case of HIV-1. While time-lapse live-cell imaging has yielded a great deal of information about many aspects of the life cycle of HIV-1(3-7), the resolution afforded by live-cell microscopy is limited (~200 nm). Our work was aimed at developing a correlation method that permits direct visualization of early events of HIV-1 infection by combining live-cell fluorescent light microscopy, cryo-fluorescent microscopy, and cryoET. In this manner, live-cell and cryo-fluorescent signals can be used to accurately guide the sampling in cryoET. Furthermore, structural information obtained from cryoET can be complemented with the dynamic functional data gained through live-cell imaging of fluorescent labeled target. In this video article, we provide detailed methods and protocols for structural investigation of HIV-1 and host-cell interactions using 3D correlative high-speed live-cell imaging and high-resolution cryoET structural analysis. HeLa cells infected with HIV-1 particles were characterized first by confocal live-cell microscopy, and the region containing the same viral particle was then analyzed by cryo-electron tomography for 3D structural details. The correlation between two sets of imaging data, optical imaging and electron imaging, was achieved using a home-built cryo-fluorescence light microscopy stage. The approach detailed here will be valuable, not only for study of virus-host cell interactions, but also for broader applications in cell biology, such as cell signaling, membrane receptor trafficking, and many other dynamic cellular processes.
- Published
- 2013
- Full Text
- View/download PDF
49. The extinct Baltic amber genus Propelma Trjapitzin, a valid genus of Neanastatinae (Hymenoptera, Eupelmidae).
- Author
-
Gibson GA
- Abstract
The extinct Eocene Baltic amber genus Propelma Trjapitzin 1963 is removed from synonymy under Eupelmus Dalman 1820 (Hymenoptera, Eupelmidae, Eupelminae) and treated as a valid genus within Neanastatinae Kalina 1984 based on examination of the holotype female of Propelma rohdendorfi Trjapitzin. Propelma rohdendorfi is redescribed, illustrated by photomacrographs, and compared to other described extant and extinct genera of Neanastatinae. Taxonomic, morphological and geological diversity of Neanastatinae relative to Eupelminae and Calosotinae is also discussed relative to potential age of the subfamily.
- Published
- 2013
- Full Text
- View/download PDF
50. Revision of the species of Jaliscoa Bouček within a review of the identity, relationships and membership of Jaliscoa, Catolaccus Thomson, Eurydinoteloides Girault, Lyrcus Walker and Trimeromicrus Gahan (Hymenoptera: Pteromalidae).
- Author
-
Gibson GA
- Subjects
- Animals, Demography, Female, Hymenoptera physiology, Hymenoptera ultrastructure, Male, Species Specificity, Hymenoptera classification, Hymenoptera genetics
- Abstract
The limits of Lyrcus Walker (1842), Catolaccus Thomson (1878), Eurydinoteloides Girault (1913a), Trimeromicrus Gahan (1914), and Jaliscoa Bouček (1993) are re-evaluated and redefined to better reflect observed distribution of morphological features. Nine of 13 New World species of Catolaccus are transferred to other genera and photographs of the primary type specimens are given to assist future recognition. New features are provided to assist identification of the remaining four Nearctic species of Catolaccus and these are compared to European species, with the observation that C. kansensis (Girault 1917c) could be a junior synonym of C. crassiceps (Masi 1911). Trimeromicrus is removed from synonymy under Lyrcus for the single species T. maculatus Gahan (1914) rev. comb. Newly synonymized under Lyrcus is the Australasian genus Neocylus Bouček (1988) n. syn. Ten species are newly transferred to Lyrcus-L. nigraeneus (Girault 1915) n. comb. (from Neocylus), L. helice (Walker 1843) n. comb. and L. cyaneus (Girault 1911) n. comb. (from Catolaccus), and L. albiclavus (Girault 1917c) n. comb., L. capitis (Burks 1955) n. comb., L. chalcis (Burks 1955) n. comb., L. coeliodis (Ashmead 1896) n. comb., L. deuterus (Crawford 1911) n. comb., L. nigroaeneus (Ashmead 1894a)n. comb. and L. rosaecolis (Burks 1955) n. comb. (from Zatropis Crawford 1908). Catolaccus pallipes Ashmead (1894b) is newly transferred to Pteromalus Swederus (1795) as Pteromalus pallipes (Ashmead) n. comb. and Catolaccus fragariae Rohwer (1934) to Lariophagus Crawford (1909) as Lariophagus fragariae (Rohwer) n. comb. Nine species are newly transferred to Eurydinoteloides-E. tepicensis (Ashmead 1895) n. comb. (from Catolaccus), E. dymnus (Walker 1847) n. comb., E. hermeas (Walker 1847) n. comb., E. incerta (Ashmead 1893) n. comb., E. orontas (Walker 1847) n. comb., E. perdubia (Girault 1916) n. comb., E. platensis (De Santis in De Santis et al. 1979) n. comb. and E. timaea (Walker 1847)n. comb. (from Lyrcus), and E. eudubia (Özdikmen 2011) n. comb. (from Spintherus Thomson 1878). Four species are newly transferred to Jaliscoa-J. grandis (Burks 1954) n. comb. and J. hunteri (Crawford 1908) n. comb. (from Catolaccus), and J. townsendi (Crawford 1912) n. comb. and J. vulgaris (Ashmead 1894b) n. comb. (from Pteromalus). The species of Jaliscoa are revised to include J. nudipennis Bouček 1993, J. bouceki n. sp., J. hunteri and J. vulgaris. Re-established in synonymy under J. hunteri is J. townsendi n. comb. One new species of Pteromalus, P. grisselli n. sp., is described as an egg predator in the egg sacs of Dictyna coloradensi Chamberlin (Araneae: Dictynidae) and compared to Catolaccus species and other pteromalids that are predators of spider eggs. Lectotypes are designated for Pteromalus helice Walker (1843), Catolaccus pallipes Ashmead (1894b) and Catolaccus vulgaris Ashmead (1894b). Diagnoses are given to differentiate Catolaccus, Eurydinoteloides, Jaliscoa, Lyrcus and Trimeromicrus from each other, and more extensive descriptions given to help differentiate these genera from other Pteromalinae. Morphological features are illustrated through macrophotography and scanning electron photomicrography.
- Published
- 2013
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.